Provider Demographics
NPI:1699172239
Name:APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:APPLIED BEHAVIORAL MENTAL HEALTH COUNSELING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:HALBERSTAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:866-352-5010
Mailing Address - Street 1:3501 N 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2333
Mailing Address - Country:US
Mailing Address - Phone:718-360-9548
Mailing Address - Fax:
Practice Address - Street 1:3501 N 53RD AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2333
Practice Address - Country:US
Practice Address - Phone:718-360-9548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006000251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health